Active NPIIndividual providerSole proprietor

Ms. Staela M Keegan, LSW

Social Worker in Clifton, New Jersey

NPI Number1578786430
Practice location
777 Bloomfield Ave, Clifton, NJ 07012-1242
Fax
973-594-0536
Last updated
July 8, 2007

Staela M Keegan is a Social Worker based in Clifton, NJ. Staela M Keegan practices in Clifton, NJ and has the professional credentials of LSW. The NPI Number for Staela M Keegan is 1578786430 and holds a License No. 44sl01162300 (NJ). The current practice location address for Staela M Keegan is 777 Bloomfield Ave, Clifton, NJ 07012-1242 and can be reached out via phone at 973-594-0125 and via fax at 973-594-0536.

Provider Profile Details

NPI Number
1578786430
Provider Name
Staela M Keegan
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
777 Bloomfield Ave, Clifton, NJ 07012-1242
Phone Number
973-594-0125
Fax Number
973-594-0536
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
777 Bloomfield Ave
Clifton, NJ 07012-1242
Zip
07012-1242
Phone Number
973-594-0125
Fax Number
973-594-0536
Clifton, NJ 07012Get directions →

Provider Business Mailing Address Details

Address
29 Oak St
Nutley, NJ 07110-1351
City
Nutley
State
NJ
Zip
07110-1351
Phone Number
973-284-1971

License Information

License Number
44sl01162300
License State
NJ
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Staela M Keegan, LSW?

The NPI number of Ms. Staela M Keegan, LSW is 1578786430. It was assigned on April 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Staela M Keegan, LSW?

Ms. Staela M Keegan, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44sl01162300.

Where does Ms. Staela M Keegan, LSW practice?

The practice location is 777 Bloomfield Ave, Clifton, NJ 07012-1242. The office can be reached at 973-594-0125 (phone) or 973-594-0536 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578786430 directly on the NPPES registry website.

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